CN105311730A - Guiding catheter - Google Patents
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- CN105311730A CN105311730A CN201410375085.1A CN201410375085A CN105311730A CN 105311730 A CN105311730 A CN 105311730A CN 201410375085 A CN201410375085 A CN 201410375085A CN 105311730 A CN105311730 A CN 105311730A
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- outer tube
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Abstract
The invention provides a guiding catheter which comprises an outer pipe, an inner pipe and a balloon, wherein the outer pipe and the inner pipe are coaxially arranged; the balloon is connected with the end part of a far end of the outer pipe; a chamber in the inner pipe is a guiding chamber of the guiding catheter; a chamber between the inner pipe and the outer pipe is an expansion chamber of the guiding catheter; an expansion plug is arranged at the far end of the expansion chamber and can be used for controlling the expansion and contraction speeds of the balloon, so that complications which are possibly caused by blood vessel rupture and bleeding or vascular injury are reduced; meanwhile, the balloon is made of a high-compliance material and can better expand under the condition of low pressure; in addition, the outer pipe and/or the inner pipe adopts a three-layer structure, an intermediate layer is wound and/or woven on an inner-layer material of the outer pipe and/or the inner pipe in a form of metal wires; the winding and/or weaving density of the metal wires is gradually reduced from a near end to a far end of the outer pipe and/or the inner pipe, so that the aims of improving bending resistance and the flexibility of the guiding catheter are achieved; meanwhile, by selection and structural design of the guiding catheter material, a supporting force of the guiding catheter is increased.
Description
Technical field
The present invention relates to technical field of medical instruments, be specifically related to a kind of guiding catheter.
Background technology
Intravascular intervention Diagnosis and Treat is as the therapeutic modality of a Wicresoft, in recent years along with the introducing improvement of the progress of iconography equipment, novel intervention equipment is able to fast development, blood vessel gets involved doctor can process the pathological changes become increasingly complex, the case of clinical practice gets more and more, and the disease kind related to is also more and more extensive.
At present, in clinical, carry out endovascular intervene operation, usually use traditional guiding catheter, and the holding power of guiding catheter plays key effect in Clinical practice.The holding power of guiding catheter refers to that it firm, is stablely connected to coronary opening and keeps good alignment, by the ability of intervention therapeutic apparatus smooth delivery of power lesion vessels.The effect of guiding catheter is that the various intervention therapeutic apparatus of conveying arrives diseased region, by the impact of active force and counteracting force, the strength of pushed forward apparatus makes guiding catheter obtain the trend of moving round about, particularly for the arterial disease of extreme distortion/calcification/angulation, this counteracting force trend is stronger, at this moment the recoil holding power needing guiding catheter to provide powerful, could ensure carrying out smoothly of intervene operation.
When carrying out some intervene operation, as stent-assisted angioplasty, carotid stents or Ink vessel transfusing machinery get bolt operation time, existing guiding catheter can not provide good holding power, and easily generation thrombosis or speckle come off, and arrival distal vessels causes distal embolization under the washing away of blood flow, increase the risk of operation.
Summary of the invention
The object of the present invention is to provide a kind of novel guiding catheter, not only improve the holding power of guiding catheter, and control the speed of balloon expandable and contraction, improve bending resistance and the compliance of guiding catheter simultaneously, reduce the probability of all kinds of complication in operation.
For achieving the above object and other relevant objects, the invention provides a kind of guiding catheter: described guiding catheter comprises the coaxial outer tube that arranges and interior pipe, and the sacculus be connected with described distal outer tube end; Chamber in described interior pipe is the lead-in cavity of described guiding catheter, and the chamber between described interior pipe and described outer tube is the expansion chamber of described guiding catheter, and the far-end of described expansion chamber is provided with expansible stopper.
Further, in the form of a ring, its inner surface and outer surface fit with described interior pipe and outer tube described expansible stopper respectively, and, described expansible stopper is axially provided with one or more through hole, as logical liquid passage along guiding catheter.
Further, described through hole is made up of the one or more depressions on the described outer surface being positioned at described expansible stopper.
According to a preferred embodiment of the present invention, described outer tube and/or interior pipe are three-decker.Further, the cladding material of described outer tube and/or interior pipe is polyurethane, nylon, high density polyethylene (HDPE) or block polyetheramides elastomer.Further, the inner layer material of described outer tube and/or interior pipe is poly-fluorocarbon, polyformaldehyde, nylon66 fiber or nylon 6.Further, the intermediate layer material of described outer tube and/or interior pipe is rustless steel, Nitinol or tungsten.Preferably, the intermediate layer material of described outer tube and/or interior pipe is tinsel, is wound around and/or is woven on the inner layer material of described outer tube and/or interior pipe.Preferably, the density that described tinsel is wound around and/or weaves reduces from the near-end of described outer tube and/or interior pipe gradually to far-end.
According to a preferred embodiment of the present invention, described outer tube and/or interior pipe are single layer structure.Further, the material of described outer tube and/or interior pipe is polyurethane, nylon, high density polyethylene (HDPE) or block polyetheramides elastomer.
According to a preferred embodiment of the present invention, described outer tube is single layer structure and described interior pipe is three-decker.
Further, the hardness of described outer tube is 78 shore hardness ~ 20 shore hardnesses.
Further, the hardness of described outer tube and/or interior pipe reduces from the near-end of described outer tube and/or interior pipe gradually to far-end.
Further, the internal diameter of described outer tube is 1.5mm ~ 3.0mm, and external diameter is 1.6mm ~ 3.3mm, and the length of described outer tube is 80cm ~ 150cm.
Further, the internal diameter of described interior pipe is 1.0mm ~ 2.0mm, and external diameter is 1.1mm ~ 2.5mm, and the length of described interior pipe is 80cm ~ 150cm.
Further, described interior pipe is provided with developing mark.
Further, the material of described sacculus is highly conforming properties material.Preferably, the material of described sacculus is silicone rubber, synthetic rubber, polyurethane or latex.Further, be formed with coating on the surface of described guiding catheter, described coating is hydrophilic material.
Compared with prior art, the beneficial effect of guiding catheter provided by the present invention is:
1, the present invention is provided with expansible stopper at the far-end of expansion chamber, controls the speed of balloon expandable and contraction with this, thus the complication reducing the hemorrhage or blood vessel injury of angiorrhexis and may cause;
2, sacculus of the present invention adopts highly conforming properties material, can well expand under low voltage situations;
3, outer tube of the present invention and/or interior pipe adopt three-decker, intermediate layer is wound around with form wiry and/or is woven on the inner layer material of described outer tube and/or interior pipe, tinsel is wound around and/or the density of braiding reduces from the near-end of outer tube and/or interior pipe gradually to far-end, reach and improve the bending resistance of guiding catheter and the object of compliance, simultaneously, increase the holding power of guiding catheter, avoid subsiding of guiding catheter, solve traditional guiding catheter and support hypodynamic problem;
4, lead-in cavity of the present invention can be blood vessel intervention equipment and provides transfer passage, reduces the exchange times of medical apparatus and instruments in patient body in operation, saves operating time, reduce surgery cost, thus reduce the probability of all kinds of complication.
Accompanying drawing explanation
The structural representation of the guiding catheter that Fig. 1 provides for one embodiment of the invention.
The longitdinal cross-section diagram of the guiding catheter that Fig. 2 provides for one embodiment of the invention.
The view in transverse section of the guiding catheter that Fig. 3 provides for one embodiment of the invention.
The structural representation of pipe in the guiding catheter that Fig. 4 provides for one embodiment of the invention.
The cross-sectional view of pipe and expansible stopper in the guiding catheter that Fig. 5 a provides for one embodiment of the invention.
The cross-sectional view of pipe in the guiding catheter that Fig. 5 b provides for one embodiment of the invention.
The sectional view of the spring wrap of pipe in the guiding catheter that Fig. 6 provides for one embodiment of the invention.
The sectional view of the spring wrap of the outer tube of the guiding catheter that Fig. 7 provides for one embodiment of the invention.
In Fig. 1 to Fig. 7, each sequence number is expressed as: 1-adapter, 11-adapter side opening, 12-adapter main aperture, 2-delivery conduit body, 21-outer tube, pipe in 22-, 3-sacculus, 4-diffusion-induced stress pipe, 5-expansion chamber, 6-lead-in cavity, 7-develops point, 8-head end, 9-glue, 10-expansible stopper, 101-fluid passage, the skin of pipe in 221-, the intermediate layer of pipe in 222-, the internal layer of pipe in 223-, 2221-turn, 212-turn.
Detailed description of the invention
For enabling above-mentioned purpose of the present invention, feature and advantage become apparent more, are described in detail the specific embodiment of the present invention below in conjunction with accompanying drawing.When describing the embodiment of the present invention in detail, for convenience of explanation, general ratio partial enlargement disobeyed by schematic diagram, should in this, as limitation of the invention.
Guiding catheter of the present invention can be widely used in multiple fields; be particularly useful for various medical devices technical field; be illustrated below by preferred embodiment; certain the present invention is not limited to this specific embodiment, and the general replacement known by one of ordinary skilled in the art is encompassed in protection scope of the present invention undoubtedly.
Please refer to Fig. 1 ~ Fig. 3, the structural representation of its guiding catheter provided for one embodiment of the invention, longitdinal cross-section diagram and view in transverse section.As shown in FIG. 1 to 3, described guiding catheter comprises outer tube 21 and the interior pipe 22 of coaxial setting, and is connected with sacculus 3 with described outer tube 21 distal end; Chamber in described interior pipe 22 is the lead-in cavity 6 of described guiding catheter, chamber between described interior pipe 22 and described outer tube 21 is the expansion chamber 5 of described guiding catheter, the far-end of described expansion chamber 5 is provided with expansible stopper (not shown, to introduce in detail in subsequent figure 4).In addition, described guiding catheter also comprises adapter 1 and diffusion-induced stress pipe 4, and described outer tube 21, described interior pipe 22, described expansion chamber 5 are referred to as delivery conduit body 2 with described lead-in cavity 6.
As can be seen from Figure 2, described adapter 1 is connected with the near-end of described delivery conduit body 2, described diffusion-induced stress pipe 4 is connected with the far-end of described adapter 1, and the near-end of described sacculus 3 is connected with the distal seal of outer tube 21, and the far-end of described sacculus 3 is connected with the distal seal of interior pipe 22.Described expansion chamber 5 is the cavitys formed between the outer wall of interior pipe 22 and the inwall of outer tube 21, size expansion time and contraction time needed for sacculus 3 of described expansion chamber 5 design, expansion chamber 5 communicates with adapter side opening 11, and expansion medium is injected in expansion chamber 5 by adapter side opening 11.Adapter main aperture 12 is for getting involved equipment by blood vessel.
Described outer tube 21 is three-decker, is made up of skin, intermediate layer and internal layer; The cladding material of described outer tube 21 is polyurethane, nylon, high density polyethylene (HDPE) or block polyetheramides elastomer (PEBAX); Inner layer material is poly-fluorocarbon, polyformaldehyde, nylon66 fiber or nylon 6; Intermediate layer material is rustless steel, Nitinol or tungsten.Preferably, described intermediate layer material is stainless steel silk, titanium-nickel wire or tungsten filament, be wound around and/or be woven on the inner layer material of described outer tube, such as intermediate layer is turn, and as shown in Figure 7, intermediate layer 212 is turn, be wound on internal layer, preferred, tinsel is wound around and/or the density of braiding reduces from the near-end of described outer tube gradually to far-end, makes guiding catheter also have compliance while guarantee bending resistance.It should be noted that, density wiry can reduce gradually, also outer tube can be divided into multistage, such as four sections, tinsel described in each section be wound around and/or the density of braiding all identical, then from the near-end of described outer tube to far-end, the density of four sections reduces gradually.
Described interior pipe 22 is three-decker, is made up of, as shown in Fig. 4 and Fig. 5 a and Fig. 5 b skin 221, intermediate layer 222 and internal layer 223; The described material of outer 221 is polyurethane, nylon, high density polyethylene (HDPE) or block polyetheramides elastomer, and the material in intermediate layer 222 is rustless steel, Nitinol or tungsten, and the material of internal layer 223 is poly-fluorocarbon; Preferably, the turn that described intermediate layer 222 forms for tinsel, be wound on described internal layer 223, described diameter wiry is 0.05mm ~ 0.2mm, and as shown in Figure 6, turn 2221 is wound on described internal layer 223; The winding density of turn reduces from the near-end of described interior pipe 21 gradually to far-end.It should be noted that, also interior pipe 22 can be divided into multistage, such as 4 sections, the density of turn described in each section is all identical, then from the near-end of described interior pipe to far-end, the density of four sections reduces gradually, as shown in Figure 4, described interior pipe 22 is divided into four sections, be respectively first paragraph 1., second segment 2., the 3rd section 3. with the 4th section 4., wherein, first paragraph is 1. closest to the far-end of described interior pipe 22,4th section 4. closest to the near-end of described interior pipe 22, constantly less from the 4th section of density 4. to first paragraph 1. described turn.In various embodiments, the intensity of variation of turn density can be different, need the intensity needed for actual product, arrange the winding density of turn.
Same, described outer tube 21 is or/and described interior pipe 22 also can be single layer structure, and its material is polyurethane, nylon, high density polyethylene (HDPE) or block polyetheramides elastomer.
Preferred, described outer tube 21 is single layer structure and described interior pipe 22 is three-decker, and the three-decker of described interior pipe 22 avoids interior pipe to subside, and provides good holding power, and the single layer structure of described outer tube 21 avoids the external diameter of whole guiding catheter excessive.
The hardness of described outer tube 21 is less gradually to far-end from the near-end of described outer tube, and the hardness range of described outer tube 21 is 78 shore hardness ~ 20 shore hardnesses; It should be noted that, also described outer tube can be divided into multistage, each section has different hardness, proximally arrives far-end hardness and constantly reduces, such as: body outer tube 21 being divided into three sections of different hardness, the far-end body of relatively hard near-end body, middle transition duct bodies and flexible relative.
The internal diameter of described outer tube 21 is 1.5mm ~ 3.0mm, such as 1.5mm, 2.0mm, 2.5mm, 3.0mm, and external diameter is 1.6mm ~ 3.3mm, such as: 1.6mm, 2.1mm, 2.6mm, 3.1mm; The length of described outer tube is 80cm ~ 150cm.
The hardness of described interior pipe 22 is 78 shore hardness ~ 20 shore hardnesses, and its hardness can reduce from the near-end of interior pipe gradually to far-end, also can unanimously remain unchanged.The internal diameter of described interior pipe 22 is 1.0mm ~ 2.0mm, such as: 1.0mm, 1.5mm, 2.0mm; External diameter is 1.1mm ~ 2.5mm, such as: 1.1mm, 1.6mm, 2.1mm; The length of described interior pipe 22 is 80cm ~ 150cm.In addition, in fig. 2, until the distal end of interior pipe 22 is called head end 8 from the distal end of sacculus 3, the length of described head end 8 is 3mm ~ 90mm.
At the far-end of described interior pipe 22, namely the far-end of described expansion chamber 6 is provided with expansible stopper 10, for controlling the speed of sacculus 3 enlargement and contraction, in the form of a ring, its inner surface and outer surface fit with described interior pipe 22 and outer tube 21 described expansible stopper 10 respectively, as shown in Figure 5 a, and, expansible stopper 10 is provided with one or more through hole along guiding catheter axis, as logical liquid passage, to control the liquid in expansion chamber 6; Preferably, described through hole is arranged on outer surface that described expansible stopper 10 and described outer tube 21 fit, namely on the outer surface of described expansible stopper 10, one or more depression is provided with, as 101 in Fig. 5 a, described depression 101 is as logical liquid passage, to control the liquid in expansion chamber 6, prevent liquid from flowing to rapidly sacculus 3, thus reach the object controlling sacculus 3 enlargement and contraction speed.Be understandable that, described through hole also can be formed on the inner surface that described expansible stopper 10 and described interior pipe 22 fit, or be formed in the mid portion of described expansible stopper 10, can equidistant arrangement or non-equally arrange between described multiple through hole, specifically decided by process conditions when making and actual needs.The material of described expansible stopper 10 is PEBAX or polyurethane or silica gel, and its material hardness is 15 shore hardness ~ 63 shore hardnesses; Described sacculus 3 adopts the material of highly conforming properties, and described material is silicone rubber, synthetic rubber, polyurethane or latex; Described sacculus 3 adopts the Joining Technology such as ultrasonic bonding, hot-melt adhesive paste, solvent connection, UV adhesive curing or Instant cement connection to be connected to the far-end of described outer tube 21.
Please refer to Fig. 2 and Fig. 4, described interior pipe 22 is provided with one or more developing mark 7, for the location of guiding catheter in operation process, described developing mark 7 is positioned on the tube wall of the far-end of described pipe 22, also near sacculus 3, such as, can have two developing marks 7, be positioned at pipe 22 on the near-end of sacculus 3 and the tube wall of far-end, same, described developing mark 7 also can be embedded in the intermediate layer of interior pipe 22.The material of described developing mark 7 is that platinum complies with conjunction gold, silver, gold or tantalum.
The integral surface of guiding catheter provided by the present invention is formed with coating, and described coating is hydrophilic material, or at least on the sacculus 3 and head end 8 of guiding catheter, is formed with coating; Reduce friction with this, make guiding catheter carry out blood vessel and pass through more smooth and easy, make the operating characteristics of guiding catheter better; In the present embodiment, the modes such as coating, injection are adopted to form coating.
The outer tube of guiding catheter provided by the invention can select two kinds of structures, and the material related to or size are also many, and be described below by way of two embodiments, embodiment gives concrete use material and size; It should be noted that, in other embodiments, the material of each structure and size are determined according to the embody rule occasion of guiding catheter.
[embodiment one]
The present embodiment adopts a developing mark 7, its material be platinum according to alloy, be arranged on head end 8 place of guiding catheter; Outer tube 21 adopts three-decker, the preferred nylon of cladding material and PEBAX; The preferred stainless steel 304 v of intermediate layer material, preferred mesh grid, count is reduced to far-end gradually by near-end; The preferred PTFE of inner layer material; Outer tube 21 is divided into three sections, and it is less gradually that its hardness proximally arrives far-end, and the hardness of described three sections is respectively 72D, 55D, 40D.The three-decker that interior pipe adopts: cladding material is silicone rubber, and intermediate layer is that stainless steel 304 V metal wire knitted forms, and diameter wiry is 0.1mm, and internal layer is PTFE, and inner tube diameter is 1.6mm.Expansion chamber 5 is guided for integral duct and is provided logical liquid passage; The connected mode of sacculus 3 is hot-melt adhesive paste, and its material adopts silicone rubber; The design length of head end 8 is 3mm.After guiding catheter integrated connection completes, surface adopts water wetted material coating, and polyvinyl pyrrolidone (PVP) selected by water wetted material.
[embodiment two]
Adopt three developing marks 7 in the present embodiment, be separately positioned in the middle of head end 8 and sacculus 3, material adopts gold; Outer tube is single layer structure, and material is PEBAX; Outer tube 21 is divided into three sections, and it is less gradually that its hardness proximally arrives far-end, and the hardness of described three sections is respectively 78D, 55D, 35D.Interior pipe is three-decker: cladding material is preferably polyurethane, and intermediate layer is that titanium-nickel wire is entwined, and the diameter of titanium-nickel wire is 0.1mm, and internal layer is PTFE, and inner tube diameter is 1.5mm; Install expansible stopper 10 in expansion chamber 6, structure is made up of three logical liquid path 10s 1, and its material adopts PEBAX40D.Sacculus 3 in guiding catheter adopts glue to connect, and its material is polyurethane, and the design length of head end 8 is 50mm.After guiding catheter integrated connection completes, catheter surface adopts hydrophilic coating, and polyvinyl pyrrolidone (PVP) selected by water wetted material.
In sum, the present invention is provided with expansible stopper at the far-end of expansion chamber, controls the speed of balloon expandable and contraction with this, thus the complication reducing the hemorrhage or blood vessel injury of angiorrhexis and may cause; Sacculus adopts highly conforming properties material, can expand well under low voltage situations; Outer tube and/or interior pipe adopt three-decker, intermediate layer is wound around with form wiry and/or is woven on the inner layer material of described outer tube and/or outer tube, tinsel is wound around and/or the density of braiding reduces from the near-end of outer tube gradually to far-end, reach and improve the bending resistance of guiding catheter and the object of compliance, simultaneously, increase the holding power of guiding catheter, avoid subsiding of guiding catheter, solve traditional guiding catheter and support hypodynamic problem; Lead-in cavity of the present invention can be blood vessel intervention equipment and provides transfer passage, reduces the exchange times of medical apparatus and instruments in patient body in operation, saves operating time, reduce surgery cost, thus reduce the probability of all kinds of complication.
Be understandable that, " near-end " described in literary composition and " far-end " are comparatively speaking, and described near-end is from the one end close to operator or staff, and described far-end is from the one end away from operator or staff.
Foregoing description is only the description to present pre-ferred embodiments, any restriction not to the scope of the invention, and any change that the those of ordinary skill in field of the present invention does according to above-mentioned disclosure, modification, all belong to the protection domain of claims.
Claims (20)
1. a guiding catheter, is characterized in that, the sacculus that described guiding catheter comprises the coaxial outer tube arranged and interior pipe and is connected with described distal outer tube end; Chamber in described interior pipe is the lead-in cavity of described guiding catheter, and the chamber between described interior pipe and described outer tube is the expansion chamber of described guiding catheter, and the far-end of described expansion chamber is provided with expansible stopper.
2. guiding catheter as claimed in claim 1, it is characterized in that, in the form of a ring, its inner surface and outer surface fit with described interior pipe and outer tube described expansible stopper respectively, and, described expansible stopper is axially provided with one or more through hole along guiding catheter.
3. guiding catheter as claimed in claim 2, it is characterized in that, described through hole is made up of the one or more depressions on the described outer surface being positioned at described expansible stopper.
4. the guiding catheter as described in any one of claim 1-3, is characterized in that, described outer tube and/or interior pipe are three-decker.
5. guiding catheter as claimed in claim 4, it is characterized in that, the cladding material of described outer tube and/or interior pipe is polyurethane, nylon, high density polyethylene (HDPE) or block polyetheramides elastomer.
6. guiding catheter as claimed in claim 4, is characterized in that, the inner layer material of described outer tube and/or interior pipe is poly-fluorocarbon, polyformaldehyde, nylon66 fiber or nylon 6.
7. guiding catheter as claimed in claim 4, it is characterized in that, the intermediate layer material of described outer tube and/or interior pipe is rustless steel, Nitinol or tungsten.
8. guiding catheter as claimed in claim 7, it is characterized in that, the intermediate layer material of described outer tube and/or interior pipe is tinsel, is wound around and/or is woven on the inner layer material of described outer tube and/or interior pipe.
9. guiding catheter as claimed in claim 8, is characterized in that, described tinsel is wound around and/or the density of braiding reduces from the near-end of described outer tube and/or interior pipe gradually to far-end.
10. the guiding catheter as described in any one of claim 1-3, is characterized in that, described outer tube and/or interior pipe are single layer structure.
11. guiding catheters as claimed in claim 10, is characterized in that, the material of described outer tube and/or interior pipe is polyurethane, nylon, high density polyethylene (HDPE) or block polyetheramides elastomer.
Guiding catheter described in 12. any one of claim 1-3, is characterized in that, described outer tube is single layer structure and described interior pipe is three-decker.
13. guiding catheters as claimed in claim 12, is characterized in that, the hardness of described outer tube is 78 shore hardness ~ 20 shore hardnesses.
14. guiding catheters as described in any one of claim 1-3, it is characterized in that, the hardness of described outer tube and/or interior pipe reduces from the near-end of described outer tube and/or interior pipe gradually to far-end.
15. guiding catheters as described in any one of claim 1-3, it is characterized in that, the internal diameter of described outer tube is 1.5mm ~ 3.0mm, and external diameter is 1.6mm ~ 3.3mm, and the length of described outer tube is 80cm ~ 150cm.
16. guiding catheters as described in any one of claim 1-3, it is characterized in that, the internal diameter of described interior pipe is 1.0mm ~ 2.0mm, and external diameter is 1.1mm ~ 2.5mm, and the length of described interior pipe is 80cm ~ 150cm.
17. guiding catheters as described in any one of claim 1-3, is characterized in that, described interior pipe is provided with developing mark.
18. guiding catheters as described in any one of claim 1-3, it is characterized in that, the material of described sacculus is highly conforming properties material.
19. guiding catheters as claimed in claim 18, is characterized in that, the material of described sacculus is silicone rubber, synthetic rubber, polyurethane or latex.
20. guiding catheters as described in any one of claim 1-3, it is characterized in that, be formed with coating on the surface of described guiding catheter, described coating is hydrophilic material.
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